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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Remove A Ureteral Kidney Stone?

Hi! I have a 5 millimeter left ureteral kidney stone, if it doesn t pass since it s in the ureter is there more chance that it could cause problems than if it was located in a different location? I m a woman, I haven t had any pain for 12 days since being diagnosed by a ct scan on May 9th. If I don t pass it do you think I need to pursue it with a urologist or just with my medical doctor?
Fri, 30 Jun 2017
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General Surgeon,  's  Response
Hi and welcome to HCM.
This is considered small stone and 5mm should be treated conservatively innitialy.
Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy.
Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease.
In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney.
Kindly regards. Wish you a good health.
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How To Remove A Ureteral Kidney Stone?

Hi and welcome to HCM. This is considered small stone and 5mm should be treated conservatively innitialy. Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy. Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney. Kindly regards. Wish you a good health.